Individual
DANIEL KEVIN MATEO LUSUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 US HIGHWAY 202, #31, FLEMINGTON, NJ 08822
(908) 751-7330
Mailing address
9 MOUNT BETHEL RD, WARREN, NJ 07059-5603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00404900
NJ
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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